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目的对深圳市流动已婚育龄妇女生殖健康现况及需求进行调查,以探讨流动人口生殖健康服务最佳实践模式。方法采用等比例分层抽样方法抽样,调查对象为15~49岁的非本市户籍已婚妇女。结果流动已婚妇女93.79%已落实各类节育措施,占已生育人数的99.41%,其中83.37%使用长效措施;72.20%的对象接纳婚前性行为,50.47%有过婚前性行为,42.78%首次性行为的年龄<20岁,11.33%有多个性伴;17.77%做过人工流产术,反复流产率高达28.29%,26.33%的人有过生殖道感染患病史;91.38%的人希望获得更多的生殖健康知识,90.15%希望在业余时间由计生或妇幼保健部门提供讲座、面对面咨询服务,91.61%认为男性也应该参加生殖健康教育;对于免费避孕药具,有50.15%的人会主动领取,43.67%的人愿意自己购买避孕药具并坚持使用。结论本市流动已婚育龄妇女生殖健康状况不容乐观。建议进一步加强流动人口生殖健康宣传教育和避孕方法的知情选择、药具等综合管理与服务,开展流动人口生殖健康促进项目。
Objective To investigate the status and needs of reproductive health of migrant women of childbearing age in Shenzhen to discuss the best practice mode of reproductive health services for migrants. Methods Sampling was conducted by the method of equal proportion stratified sampling, and the surveyed subjects were non-city married married women aged 15-49 years old. As a result, 93.79% of married women have already implemented all kinds of birth control measures, accounting for 99.41% of births, of whom 83.37% use long-term measures; 72.20% accept premarital sex; 50.47% have premarital sex; 42.78% The age of sexual activity is <20 years old, 11.33% have multiple partners; 17.77% have done abortion, the rate of recurrent miscarriage is as high as 28.29%, 26.33% have history of genital tract infection; 91.38% want to get more 90.15% want to give lectures by family planning or maternity and child health care departments in their spare time, and face to face counseling services, 91.61% think men should participate in reproductive health education; for free contraceptives, 50.15% will take the initiative to receive 43.67% of them would like to buy contraceptives and keep using them. Conclusion Reproductive health of married women of childbearing age in this Municipality is not optimistic. It is recommended to further strengthen the informed management of reproductive health publicity, education and contraceptive methods for migrants and the integrated management and services of medicines and equipment and to carry out the project of promoting reproductive health of floating population.